Kentucky Cardiovascular Consultants PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

32463 Issued in KY

Legal business name

KENTUCKY CARDIOVASCULAR CONSULTANTS PLLC

Practice address

2200 E Parrish Ave
BLDG B, Ll103
Owensboro, KY 42303-1449

Phone

(270) 926-2998

Fax

(270) 852-1653

NPI assigned

Oct 3, 2007

Last updated

Sep 17, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Mukesh Gupta, M.D.

Title

President of Corporation

Phone

(270) 926-2998

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robin Booth, P.A.

  • Physician Assistant
  • Owensboro, KY
  • NPI 1801801337
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474070400000",
    "number": "1619165644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "BLDG B, LL103",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-926-2998",
            "fax_number": "270-852-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "BLDG B, LL103",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-926-2998",
            "fax_number": "270-852-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY CARDIOVASCULAR CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2016-09-17",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "MUKESH",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "270-926-2998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "32463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100014630",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Elaine Kennedy, PHARM.D., R.PH.
• Robert Leslie Kennedy, PHARM.D., R.PH.
• Kentuciana Hearing AIDS, Inc
• Kentuckiana Heart & Vascular Specialists PSC
• Kentuckiana Treatment Center for Anxiety & Ocd LLC
• Kentucky Chiropractic Solutions LLC
• Kentucky CVS Pharmacy LLC (CVS Pharmacy # 07940)
• Kentucky CVS Pharmacy LLC (CVS Pharmacy #16232)
• Kentucky CVS Pharmacy, L.L.C. (CVS Pharmacy# 06264)
• Kentucky Orthopedic Rehabilitation LLC (KORT Owensboro)

• Cardiovascular Disease Physician in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Cardiovascular Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.